Revista Brasileira De Enfermagem最新文献

Objectives: to analyze the correlation between coaching leadership exercised by pre-hospital care nurses and sociodemographic and professional aspects.

Methods: an observational, analytical, cross-sectional study, carried out in mobile and fixed pre-hospital care units in Minas Gerais. A total of 79 nurses answered the questionnaires "Characterization of participants with sociodemographic/professional data" and "Nurse Self-Perception Questionnaire in Leadership Exercise Questionnaire".

Results: nurses perceive themselves as exercising coaching leadership (score 83.89). Communication was the dimension with the highest mean of the leadership instrument. Being a cis male nurse influenced the support of the team in this context. Communication was correlated with having a fixed-term contract and not having another employment relationship.

Conclusions: nurses perceive coaching leadership in nursing practice, and men may be more likely to adopt leadership styles that emphasize active support to the team with a focus on results.

Objectives: To evaluate the ratio between early and late mitral filling velocities (E/A) as a prognostic factor for hospitalizations due to cardiovascular causes and mortality in primary care; to identify the main NANDA-I nursing diagnoses, interventions, and outcomes associated with diastolic dysfunction.

Method: 633 individuals were recruited for evaluation of the E/A ratio and characterization of diastolic dysfunction. Multivariate Cox regression with Schoenfeld residual analysis, survival analysis, and hazard ratio estimation were performed.

Results: After six years, crude hazard ratios of 3.47, 3.60, 3.02, and 0.41 were identified for classes II and III diastolic dysfunction at cut-off points 1 and 2, respectively (p<0.01). Nursing diagnoses of Activity Intolerance, Anxiety, Fatigue, and Deficient Knowledge should be prioritized.

Conclusion: The E/A ratio showed an altered pattern in most participants without a diagnosis of heart failure, which may indicate a subclinical form of the condition.

Objectives: to analyze the association between emotional responses in health work and physical and mental health conditions with compassion satisfaction and compassion fatigue in nursing professionals from a Brazilian capital.

Methods: a cross-sectional study, carried out from August 2023 to July 2024 with 95 nursing professionals from a public hospital. Professional Quality of Life, Depression, Anxiety, and Stress scales and characterization questionnaires were applied. The analysis was carried out by effect size and multiple linear regression.

Results: satisfaction was associated with depression, desire to change profession, indifference to distress, and meaning of life at work. Fatigue was related to stress, alcohol use, skills to intervene in distress, and perception that working conditions impact willingness to care.

Conclusions: negative emotional responses at work and mental health are associated with lower satisfaction and greater compassion fatigue in nursing professionals.

Objective: to identify the prevalence of depression and its association with anxiety levels among military police officers.

Methods: a cross-sectional study, conducted with active military police officers, using the Beck Depression Inventory and the Beck Anxiety Inventory, both validated for the Brazilian context. Multivariate logistic regression analyses verified associations.

Results: the sample consisted of 672 military police officers, with a prevalence of depression of 34.5%. Police officers with depression presented significantly higher levels of anxiety. Anxiety was a significant predictor of depression, with each one-point increase in anxiety score being associated with a 1.20-fold increase in the odds of depression (adjusted Odds Ratio = 1.20; 95% Confidence Interval 1.16-1.24; p < 0.001).

Conclusions: the high prevalence of depression and its association with anxiety highlight the need to implement prevention and mental health promotion actions among military police officers.

Objectives: to estimate the prevalence of overweight/obesity and identify associated factors among health professionals.

Methods: this cross-sectional study included professionals who had worked for at least six months in critical units of nine hospitals in northern Minas Gerais, Brazil. Sociodemographic, occupational, anthropometric, and health condition data were collected. Poisson regression with robust variance was applied to estimate prevalence ratios (PR) using SPSS 20.0.

Results: a total of 490 health professionals participated, 65.9% were women, and 49.7% were aged 30-39 years. The prevalence of overweight/obesity was 61.8%. Associated factors included age ≥ 30 years, ≥ 5 years working in healthcare, elevated triglycerides, and elevated blood pressure.

Conclusions: the prevalence of overweight/obesity among health professionals was high and associated with sociodemographic, occupational, and health factors, underscoring the need for support to promote lifestyle changes in this workforce.

Objectives: to understand the relationship between falls and perceptions of quality of life among older adults.

Methods: this is a descriptive and exploratory study with a qualitative approach, conducted with older adults in the Family Health Strategy of Itumbiara, Goiás, using Bardin's content analysis.

Results: analysis of interviews with 26 older adults revealed four thematic axes: Fall dynamics, circumstances and associated factors; Physical and emotional repercussions of falls; Spirituality and social support network; and Perceptions and suggestions for a safer life. Falls increase older adults' fragility and vulnerability, affect their health, dependence and functional capacity and tend to be normalized and trivialized by older adults themselves.

Final considerations: falls impact older adults' physical and emotional health. It is necessary to raise awareness about the causes, consequences and prevention of this event, in order to promote healthy and active aging.

Objectives: to understand how mindfulness practice helps alleviate distress among postpartum inpatients at a public maternity hospital.

Methods: this intervention study was carried out between March and June 2022 with 19 postpartum women. Data were collected through interviews conducted before and after eight mindfulness sessions and analyzed using thematic analysis.

Results: mindfulness fostered self-regulation, attentional control, emotion regulation, a change in perspective on the self, and increased body awareness. It also reduced fear, anxiety, and stress.

Final considerations: by becoming aware of the physical and emotional sensations of their bodies, postpartum women engaged in a reflective process that helped alleviate distress during the postpartum period.

Objectives: to investigate which tuberculosis monitoring actions were modified in Primary Health Care services in the eastern region of the city of São Paulo.

Methods: a cross-sectional study based on primary and secondary data. Key informants from 20 health units were interviewed using a semi-structured questionnaire. Descriptive and analytical statistics were used for data analysis.

Results: in 2020, 2021 and 2022, there was an increase in working hours and a significant change in the work process. Changes in tuberculosis detection actions were identified, with an association between the change in consultation offer and the year 2020 when compared to 2022 (p=0.02). A decrease in the tuberculosis incidence rate and an increase in the mortality rate were observed between the years.

Conclusions: the repercussions of the pandemic on tuberculosis detection measures are highlighted, which had an impact on the epidemiological data of the disease in the municipality.

Objectives: to understand the intervening factors related to working conditions in nursing care quality.

Methods: a qualitative study conducted between August and November 2024, with in-person interviews involving 35 nursing professionals from a public hospital in the coastal lowlands of Rio de Janeiro, Brazil. The data were processed using the Interface de R pour les Analyses Multidimensionnelles de Textes et de Questionnaires software and subjected to thematic analysis.

Results: lack of supplies, work overload, insufficient organizational support, and poor infrastructure were the most frequently cited factors affecting working conditions and quality of care provided by nursing staff. The resulting classes highlight the structural, procedural, and outcome domains.

Final considerations: various factors related to working conditions were identified as intervening in nursing care quality, from the scarcity of supplies to professional development. Listening sessions can be effective in strengthening organizational support and implementing change.

Objectives: to identify nurses' perceptions of the metaparadigmatic concepts emerging from nursing practice as expanded by the anthroposophic medical system.

Methods: a qualitative study using semistructured interviews with 23 nurses of different nationalities about anthroposophic nursing practice. Data were analyzed through Reflective Thematic Analysis supported by ATLAS.ti® software.

Results: the human being is perceived as both fourfold and threefold (body, soul, and spirit), requiring care to evolve throughout one's biography. Health is understood as a balance among bodies and systems, influenced by spirituality and the perception of biographical coherence. Nursing provides extended care through external applications, nurses' self-knowledge, and the establishment of therapeutic and spiritual bonds.

Final considerations: the findings revealed a therapeutic approach within nursing care, expanded by the anthroposophic medical system and compatible with conventional nursing practices, indicating theoretical elements and framework that can contribute to the development of an anthroposophic nursing theory.